A 58-year-old obese man with suspected PE is PERC negative and clinical gestalt low risk. What is the next step?...

Question

A 58-year-old obese man with suspected PE is PERC negative and clinical gestalt low risk. What is the next step?

Accepted Answer

No D-dimer or imaging; PE can be ruled out clinically

Answer

Order D-dimer

Answer

CT pulmonary angiography

Answer

Start anticoagulation empirically

Answer

Ventilation-perfusion scan now

us-abem MCQ (SBA): Pulmonary Embolism-Diagnostic Strategy